지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.53 No.6
- 발행연도
- 2007.1
- 수록면
- 31 - 35 (5page)
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초록· 키워드
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Increased intra-abdominal pressure (IAP) leads to adverse effects on most organ systems and is associated with significant morbidity and mortality in surgical and trauma patients. The purpose of this study was to determine the effect of positive end expiratory pressure (PEEP) on IAP and abdominal perfusion pressure (APP, mean arterial pressure, MAP minus IAP) at normal and increased intra-abdominal pressures. Methods: 15 patients requiring a laparoscopic cholecystectomy were included. IAP was measured indirectly using a transurethral catheter, and APP was calculated for each patient at 0, 5, 10, 15, and 20 cmH2O of PEEP, while the insufflator pressure was maintained at either 0 or 15 mmHg. Results: At each insufflator pressure, IAP increased with higher PEEP levels (P ＜ 0.05). At 0 mmHg insufflator pressure state, MAP substantially decreased according to increasing PEEP levels, however, at 15 mmHg insufflator pressure state, MAP substantially increased despite increasing PEEP levels. Meanwhile, APP decreased with increasing PEEP levels at an insufflator pressure of zero while remaining constant at a 15 mmHg insufflator pressure. Conclusions: We found that IAP increases in response to higher PEEP levels (10, 15, and 20 cmH2O) at insufflator pressures of both zero and 15 mmHg in patients anesthetized for laparoscopic cholecystectomy. However, APP did not decrease with increasing PEEP levels at a higher intraadominal pressure (15 mmHg).
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참고문헌 (17)
참고문헌 신청
Malbrain ML / 2005 / -abdominal hypertension in the critically ill: it is time to pay attention 11:156~171
Sugrue M / 2002 / Intra-abdominal pressure: time for clinical practice guidelines? 28:389~391
Chang MC / 1998 / Effects of abdominal decompression on cardiopulmonary function and visceral perfusion in patients with intra-abdominal hypertension 44:440~445
Cullen DJ / and renal effects of massively increased intra-abdominal pressure in critically ill patients :118~21
Burchard KW / surggynecolobstet1985;161 / Positive end expiratory pressure with increased intra-abdominal pressure :313~8
Sugrue M / 2002 / Intra-abdominal pressure: time for clinical practice guidelines? 28:389~391
Chang MC / 1998 / Effects of abdominal decompression on cardiopulmonary function and visceral perfusion in patients with intra-abdominal hypertension 44:440~445
Cullen DJ / and renal effects of massively increased intra-abdominal pressure in critically ill patients :118~21
Burchard KW / surggynecolobstet1985;161 / Positive end expiratory pressure with increased intra-abdominal pressure :313~8
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